title: Factors associated with HIV testing among public sector clinic attendees in Johannesburg, South Africa.
abstract: Uptake of VCT remains low in many sub-Saharan African countries. Men and women aged 15 and older were recruited from a family planning, STI, and VCT clinic in inner-city Johannesburg between 2004 and 2005 to take part in a cross-sectional survey on HIV testing (n = 198). Fourty-eight percent of participants reported previously testing for HIV and, of these, 86.9% reported disclosing their status to their sex partner. In multivariable analyses, individuals whose partners had been tested for HIV were more likely to have tested (AOR 2.92; 95% CI: 1.38-6.20). In addition, those who reported greater blame/shame attitudes towards people living with HIV/AIDS were less likely to have tested (AOR 0.35; 95% CI: 0.16-0.77) while those reporting more equitable attitudes towards people living with HIV/AIDS were more likely to have tested (AOR 2.87; 95% CI: 1.20-6.86). Promotion of and increased access to couples HIV testing should be made available within the South African context.
authors.affiliation: Department of Epidemiology, University of North Carolina, Chapel Hill, NC 27599-7435, USA. apettif@email.unc.edu
authors.forename: Audrey
authors.initials: A
authors.lastname: Pettifor
authors.forename: Catherine
authors.initials: C
authors.lastname: MacPhail
authors.forename: Sujit
authors.initials: S
authors.lastname: Suchindran
authors.forename: Sinead
authors.initials: S
authors.lastname: Delany-Moretlwe
mesh_terms: D000328:Adult; D000554:Ambulatory Care Facilities; D003376:Counseling; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000517:prevention & control* / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006779:Hospitals, Public; D006801:Humans; D016015:Logistic Models; D008297:Male; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data; D017150:Public Sector; D012747:Sexual Partners; D012959:Socioeconomic Factors; D013019:South Africa; D055815:Young Adult